| NPI | 1043629983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH70062454) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2026-02-09 |